Active NPI
Michael Shane Garcia, CDPT
- Clinical Social Worker
- Spokane, WA
National Provider Identifier
1619126851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1803 W Maxwell Ave
Spokane, WA 99201-2831 - Phone
- (509) 325-5502
- Fax
- (509) 325-9839
- NPI assigned
- Sep 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC60002973 | WA | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1803 W Maxwell Ave
Spokane, WA 99201-2831
Mailing address
1803 W Maxwell Ave
Spokane, WA 99201-2831
Phone (509) 325-5502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC60002973 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Native Project | Clinical | Current | Accepting new patients |
Locations
1803 W Maxwell Ave
Spokane, WA 99201
Phone (509) 325-5502
Interoperability endpoints
- mgarcia@nativeproject.directbygreenway.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1619126851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 W MAXWELL AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012831",
"telephone_number": "509-325-5502",
"fax_number": "509-325-9839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 W MAXWELL AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012831",
"telephone_number": "509-325-5502",
"fax_number": "509-325-9839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "MICHAEL",
"middle_name": "SHANE",
"credential": "CDPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-11",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "RC60002973",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.